Ankur Gupta MD Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A104116 Issued in CA

Legal business name

ANKUR GUPTA MD INC

Practice address

701 E 28TH St
Suite #314
Long Beach, CA 90806-2759

Phone

(562) 981-9308

NPI assigned

Dec 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ankur GuptaNPI 1083854582

Title

President

Phone

(650) 224-8977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ankur Gupta, M.D.

  • Vascular Surgery Physician
  • Long Beach, CA
  • NPI 1083854582
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482624000000",
    "number": "1851836084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3672",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940240672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE #314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-981-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKUR GUPTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-25",
        "last_updated": "2016-12-25",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-224-8977"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A104116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.